Blood
More Blood
Even More Blood
Yes Blood
Not Blood
100

Your client has thrombocytopenia with platelets less than 18,000. Initiate bleeding precautions (4)

No rectal temps,  Use electric razor for shaving,

Hold pressure on any bleeding for 5 to 10 minutes, Do not strain during bowel movements

100

Neutropenic precautions include? 

No fresh fruits, No fresh vegetables, No fresh flowers

100

Client with pernicious anemia will require

Cobalamin (B12) injections

100

Your renal failure patient has a hemoglobin of 8.1. Anticipate giving

Erythropoietin

100

Your post-gastric bypass patient has a K+ level of 3.0. requires immediate care and cardiac monitoring. Anticipate finding what condition

Dumping syndrome

200

Thrombocytopenia plan of care: monitor for?

Blood in urine and stool. Lethargy on assessment

200

Lab result indicating anemia treated with PRBC's was successful

Increase in Hemoglobin

200

Client with aplastic anemia (decrease of ALL blood cells) plan of care should include

Use a soft bristle toothbrush

Use electric razor

Constant pulse ox monitoring

Check temp q4 hours

200

Patient presents to ED vomiting bright red blood. Your first action is to

Obtain vital signs

200

Your patient had a Roux-en-Y gastric bypass surgery. Anticipate these orders

Administer sub-Q heparin

Head of bed 30-45 degrees

High protein liquid diet

Drink fluids before OR after meals

300

A treatment for polycythemia vera is?

Phlebotomy (300 to 500 ml) as it drops hematocrit level

300

Plan of care for client with hemoglobin of 6 should include

Alternate periods of rest and activity

300

Plan of care for safe administration of blood includes

Baseline vital signs

Lung sounds

Y-type tubing set

set pump to deliver blood in less than 4 hours

300

Your patient with ulcerative colitis may be bleeding with this lab finding

Low hemoglobin and hematocrit (H&H). Ulcerative colitis may produce many episodes of bloody diarrhea

300

When feeding by Naso-Gastric, NG, tube head of bed should be at least

30 degrees

400

Reaction to a blood transfusion

Fever, Chills, Urticaria (hives), Pruritus (Itching), Resp Distress, Hypotension

400

Client with anemia from blood loss during surgery, you anticipate

Fatigue, pallor, dyspnea, tachypnea, and tachycardia

400

Your patient is vomiting coffee-ground emesis. Anticipate which test

Endoscopy for upper GI bleed

400

"Deficient fluid volume related to increased intestinal output" is the priority nursing diagnosis following what procedure

Post ileostomy

400

Teaching plan for your patient with GERD should include

Increase whole grain intake

Do not eat before bedtime

Decrease fat in every day diet

small frequent meals over 3 large meals

500

First two actions taken in a transfusion reaction

First stop the transfusion

Second infuse 0.9% sodium chloride (NS)

500

Client with anemia starts on ferrous sulfate (Iron). Teach client to expect

dark/black colored stools

500

Your diabetic patient with an abdominal wound should increase

Fluids

B-complex vitamins

Protein

500

Your patient has an acute exacerbation of Crohn's. The plan of care should include

NPO

Monitor electrolyte levels

Frequent Vital Signs

0.9% NS at 125 ml/hr

500

Priority treatment for GERD is

Reduce acid production in the Stomach